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3 girls had "streamers"; 3 conjunctival injection.
Very few exhibited anything worthy of note in the way of association
of signs.
1 girl aged 13, well-nourished, showed hvpertrophied tongue papillae,
well-marked caries, gingivitis and pericorneal injection.
County High School for Boys.—140 boys were examined.
89 nutrition good; 37 fair; 14 poor. Those marked fair and poor
were all younger boys, mostly aged 11-13, who had not grown out
of the "skinny youngster" stage. As is commonly seen among
boys of this age-group 11-16 there were marked variations in height .
In some cases deficient growth was associated with past illness—
"a patch on the lung", hay fever; in others the parents were said
to be of small stature.
Pallor was noted in 19; of these nutrition was marked before normal
in 14.
32 showed folliculosis, these cases were for the most part in the
11-13 age group.
4 had more generalised hyperkeratosis and 2 were classed as congenital.
7 showed the knee-elbow distribution hyperkeratosis.
In 61 boys a condition of the tongue was remarked which consisted
of a mild degree of furring of the dorsum with reddened tip and
edges which were the seat of numerous enlarged red papillae; in
many these same hypertrophic papillae were scattered over the
whole dorsum. Microscopically the whole of the filiform papillae
were enlarged and oedematous in appearance, while the fungiform
were enlarged appearance with enlarged capillary plexus within.
The exact significance of this condition is not known. There was
no definite association with either folliculosis or with minor caries
though in many cases the conditions coincided. In three boys a
rough furrowed tongue was said to have "always been present" , in
one of them it was associated with an icthyosis-like condition of
the skin. Stripping of the lower lip giving rise to a brilliant
vermilion colour, u form of cheilosis was noted. No case of angular
stomatitis was seen.
30 boys presented minor caries; 7 gingivitis—1 very marked.
2 had pyorrhoea and one a deposit of tartar.
17 exhibited pericorneal injection, and a further 19 the same thing
in minor degree.
3 showed "streamer" vascularisation of the cornea. (1) a tall boy
of 12, well developed and without other signs, (2) aged 12, of fair
nutrition with minor caries, enlarged tongue papillae and ' 'stripped''
lip, (3) aged 12, well nourished with folliculosis, and the same
tongue condition and scurfy patches on face.
County High School for Girls.—140 girls were examined in the
11-16 age group. 40 were between 15 and under 17; the 100 were
over 11 and under 15 years. These figures merely give a rough idea
of the age distribution and is not a physiological grouping. We
would have liked to make a division between the pre-and postpuberty
groups, but this was not possible. From conversation with
the staff we gained the impression that the onset of puberty in the
majority was during the year 12$-131. but, of course, it was very
variable. Of the 140 examined 112 were classed as of good nutrition,
most of them being well developed and plump. 25 were called
"fair", but thi9 down-grading was only in comparison with the
majority and was partly accounted for by younger age. 3 were
placed in the category of "poor"; [(1) had chronic bronchitis
aged 14, (2) also aged 14 had a mild kind of congenital icthvosis,
(3) aged 16, unexplained.] Pallor was noted in 11; seborrhoea in 10.
59 exhibited Folliculosis of arm or leg; 13 knee-elbow.
Hyperkeratosis, in one or two cases very marked; 5 showed more
generalised hyperkeratosis.
No case of cheilosis or angular stomatitis discovered.